Brandon Clark Wardell, LPC | |
940 E 3rd St Ste 105, Casper, WY 82601-3200 | |
(405) 412-5468 | |
Not Available |
Full Name | Brandon Clark Wardell |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 940 E 3rd St Ste 105, Casper, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063673069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2068 (Wyoming) | Primary |
Entity Name | Rocky Mountain Behavioral Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386915528 PECOS PAC ID: 8729515192 Enrollment ID: O20241224000591 |
Mailing Address | Practice Location Address |
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Brandon Clark Wardell, LPC 301 Thelma Dr # 226, Casper, WY 82609-2325 Ph: (405) 412-5468 | Brandon Clark Wardell, LPC 940 E 3rd St Ste 105, Casper, WY 82601-3200 Ph: (405) 412-5468 |
Miss Jane Elizabeth Matthews, M.S., P.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Daniel J Gallegos, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Micro Rd, Casper, WY 82601 Phone: 307-262-9961 | |
Heather Paige Thomas, MA, NCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 940 E 3rd St Ste 212, Casper, WY 82601 Phone: 307-577-3050 | |
Emily Kathrine Clark, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5725 Highland Dr, Casper, WY 82609 Phone: 307-265-3977 | |
Mrs. Martha Jane Carter, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Michelle Grissom, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1430 Wilkins Circle, Casper, WY 82601 Phone: 307-237-9583 Fax: 307-265-7277 | |
Mr. Scott Alan Stinson, BSW, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Payne Ave, Casper, WY 82609 Phone: 307-267-4626 |